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CREST'S 11th Annual Northern New England Rural Emergency Services and Trauma Symposium

The care of the emergently ill or injured patient provides unique challenges in a rural or critical access setting. On November 15 join Dartmouth’s Center for Rural Emergency Services and Trauma (CREST) for its 11th annual symposium designed for regional emergency medicine and trauma providers by experts in austere, out of hospital, and tertiary rural emergency care.

The core curriculum of this year’s symposium ranges broadly, delivering up-to-date clinical guidance on the care of the unstable medical and trauma patient, focusing on themes of rural resource allocation and care delivery, and teaching practical skills broadly relevant to nurses, associate providers, physicians and EMS providers. For hands-on learning, pre-register for optional multidisciplinary simulation training to reinforce the principles and pearls from the day’s lectures in Dartmouth-Hitchcock Medical Center’s Patient Safety Training Center.

At CREST we recognize the critical importance of effective interdisciplinary collaboration in providing high value rural emergency care. Faculty will present protocols, best practices, and skills training for acute illnesses and injuries with themes of team building, communication and resilience underscoring clinical content.

You are invited to join us for pre-symposium wilderness/wellness activities and happy hour on November 14th, an opportunity to enhance personal wellbeing and build interfacility relationships.

We look forward to meeting you at CREST’s 11th Northern New England Rural Emergency Services and Trauma Symposium on November 15th!

Anne M. O’Connor, MD, MSc
CREST Symposium Activity Director

Amanda R. Bubar, APRN, MSN
CREST Symposium Activity Co-Director

Activity Details
Start Date: November 15, 2018
End Date: November 15, 2018
Time: 8:00 am - 4:30 pm
Location: Dartmouth-Hitchcock Medical Center, Auditorium E
Lebanon, NH
Download: Event Brochure

Registration for this event is full. For event questions, or if you would like to be added to the wait list, please email Sarah.T.Blum@hitchcock.org.

Registration is online and by credit card only. 

The registration fees are as follows:

Conference Registration for CREST Members*:

  • MD/DO: $160
  • Non MD/DO: $80

Conference Registration Non-CREST Members:

  • MD/DO: $185
  • Non MD/DO: $95
  • EMS Providers: $50
  • Full-time Students: $30

Pre-Conference Wellness and Wilderness Activity Fees:

  • Gile Mountain Hike and Wellness Yoga: $12

*CREST network member hospitals are:
Alice Peck Day Hospital, Brattleboro Memorial Hospital, Cheshire Medical Center- Keene, Cottage Hospital, Dartmouth-Hitchcock Medical Center, Gifford Medical Center, Grace Cottage Hospital, Mt. Ascutney Hospital, New London Hospital, North Country Hospital, Southwestern Vermont Healthcare & Medical Center, Speare Memorial Hospital, Upper Connecticut Valley Hospital, Valley Regional Hospital, Weeks Medical Center

Please contact CREST conference coordinator, Sarah Blum, crest@hitchcock.org, if registration fees constitute a financial hardship.

Preregistration and payment required. The registration deadline is November 8, 2018. There will be no refunds after that date. A $10 administrative fee for a registration fee of under $50, and a $25 administrative fee for a registration of $50 and over, will be retained on all refunds requested before the registration deadline. For registration questions, please e-mail clpd.support@hitchcock.org or call (603) 653-1234.

Speakers & Topics
November 14, 2018 - Pre-Conference Wellness and Wilderness Activities (Optional)
1:00 pm - 2:30 pm Gile Mountain Hike 
3:00 pm - 4:30 pm Wellness Yoga 
5:00 pm - 6:30 pm Happy Hour at the Salt Hill Pub, Hanover, NH

November 15, 2018 - Symposium
7:00 am - 8:00 am Registration and Refreshments
8:00 am - 8:15 am Welcome and Opening Remarks: Re-Humanize
~ Anne M. O’Connor, MD, MSc
~ Amanda R. Bubar, APRN, MSN
8:15 am - 9:00 am Keynote: REST for the Weary: Explorations in Wilderness Medicine and Native Alaskan Health
~ N. Stuart Harris, MD, MFA, FRCP Edin.
9:00 am - 9:30 am What Can Go Wrong in Patients with Severe Pulmonary Hypertension
~ Bruce W. Andrus, MD, MS, FACC
9:30 am - 9:45 am Break
9:45 am - 10:15 am Tourniquets and TXA: Don’t Make a Bloody Mess
~ Max Dodge, BS, NRP, TP-C
~ Christopher O’Connell, RN, MSN, TCRN, CFRN, CEN, CCRN, CTRN
10:15 am - 10:45 am Pre-Hospital Stroke Triage: Can We Do It? Does it Matter?
~ Timothy G. Lukovits, MD
10:45 am - 11:45 am Violent Trauma Panel: Strangulation and Penetrating Wounds
~ Janet Carroll, RN, CEN, SANE-A, SANE-P
~ Harry A. Leister, RN, BSN, CEN, CPEN
~ D. Joshua Mancini, MD
~ Andy J. Miller, FP-C
11:45 am - 12:45 pm Lunch (provided)
12:45 pm - 1:15 pm The Early Identification and Stabilization of Life Threatening Pelvic Fractures
~ Kurt K. Rhynhart, MD, FACS
~ Andy J. Miller, FP-C
1:15 pm - 1:45 pm Intubation Stories From Friday the 13th
~ Harman S. Gill, MD
~ Frank DelGaudio, RN, BSN
1:45 pm - 2:15 pm In Plain Sight: Human Trafficking in the ED
~ E. Paul DeKoning, MD, MS
~ Janet Carroll, RN, CEN, SANE-A, SANE-P
2:15 pm - 2:45 pm Opioid Epidemic Response: MAT for OUD in the ED
~ Patricia L. Lanter, MD, MS
2:45 pm - 3:00 pm Break
3:00 pm - 3:30 pm Needle in a Haystack: Identifying and Treating Infectious Complications of IV Drug Use
~ Patricia Ruth A. Atchinson, DO
3:30 pm - 3:45 pm PoCUS: Bringing Clinicians Back to the Bedside
~ Zachary P. Soucy, DO
3:45 pm - 4:15 pm Pediatric Asthma: Navigating Holy Sh*t Moments with Grace and Poise
~ Anne M. O’Connor, MD, MSc
4:15 pm - 4:30 pm Closing Remarks: Re-Humanize
~ Anne M. O’Connor, MD, MSc
~ Amanda R. Bubar, APRN, MSN
4:30 pm Adjournment
Pre-Conference Wellness and Wilderness Activities

Join Us for an Active Afternoon and Happy Hour!
Before the CREST Symposium, join DHMC Emergency Medicine for an afternoon of Wilderness and Wellbeing preconference activities on November 14! Start off with an invigorating hike up Gile Mountain in Norwich, VT, reaching a fire tower at the summit, where you can take in a 360° view of the Connecticut River Valley. Then, come with us to find your center by participating in a wellness-focused yoga class on Dartmouth Campus. Finally, end the day by connecting with your colleagues from across the region at a happy hour at the Salt Hill Pub in downtown Hanover, NH. Throughout the events, activity leaders will emphasize the importance of nature, mindfulness and social engagement on wellbeing and resilience for healthcare providers and our patients. Participants will leave with practical tools to enhance wellbeing in their communities.

Pre-register for hike and yoga: $12

Simulation Training Overview

Let’s Get Our Hands Dirty!
In an effort to complement the didactics, we have designed a simulated trauma experience. Pre-register to join us for a 90 minute SIM based learning experience in Dartmouth-Hitchcock’s Patient Safety Training Center. We will focus on the care of complex trauma patients offering hands-on experiences with airway and hemodynamic management in a team environment. You will discover up to date treatment plans for the stabilization, management and transfer of patients with traumatic injuries—guided through your experience with Board Certified Emergency Care physicians, Level 1 Trauma nurses, and SIM based instructors.

Simulation Training Schedule*
Choose one of three time frames offered throughout the day (content is the same in each session):

  • 10:00 - 11:30 am
  • 1:00 - 2:30 pm (This session is full)
  • 2:45 - 4:15 pm

*Trainings will run simultaneous to conference lectures. Pre-registration required. Limited spaces. In order to provide the most valuable learning experience, a mixture of health professionals representing different professions will be selected for each session. You will be notified via email if you are selected.

Learning Outcome(s)

At the conclusion of this learning activity, participants will be able to discuss cutting-edge evidence based practice application in the assessment, management, and transfer of emergently ill patients including those impacted by trauma and/or opioid dependence in critical access settings.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dartmouth-Hitchcock Nursing Continuing Education Council is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity carries 6.5 contact hours.

Receiving Credit

The follow steps must be completed in order to receive credit for this event:

  • Register for the event online
  • Attend the event or session(s). A credit tracking sheet will be provided.
  • Complete the online evaluation - Must be submitted within 30 days after the activity

    Accessing the Online Evaluation (The evaluation is available the day after the event)

  • Log onto https://ce.dartmouth-hitchcock.org/login.aspx
  • Click on the My Activities link in the left side menu. Then click on the name of the activity you attended.
  • Click on the Resume button.
  • Click the Continue button until the Evaluation tab is active, and then click the Launch button.
  • Fill out the evaluation and then click submit. Credits will then be applied to your transcript. You can view your updated transcript by clicking on the "View Transcript" button.

View the Completing an Evaluation and Claiming Credit tutorial.

For questions or technical support, please email clpd.support@hitchcock.org or call (603) 653-1234.

Additional Information

For registration questions, please e-mail clpd.support@hitchcock.org.

For accessibility needs, dietary or any other requests, please email Sarah.T.Blum@hitchcock.org.

If you do not wish to be included on the conference participant list, please email clpd.support@hitchcock.org to inform us.

The CME and CNE Offices are not liable for expenses incurred by participants due to cancellation or changes in programs.

Dartmouth-Hitchcock Employees - Tuition fees must be paid online by credit card. D-H Accounts Payable will no longer process internal transfers of registration fees. Individuals must pay online with a credit card and then seek reimbursement, if appropriate.

Parking - In order to accommodate and best serve our patients’ parking needs, we request that all weekday conference and meeting attendees park in Lot 9 and use the Lot 9 shuttle service. Shuttles run approximately every 20 minutes - please allow enough time to accommodate this. For weekend meetings and conferences, onsite parking is permitted. View directions & map to Lot 9.

DHMC Floorplan - Please visit the DHMC Floor Maps page for specific directions on locating the conference room. If your room is not shown, please stop at the information desk for directions.

Area Accommodations - For a list of lodging options in the vicinity of Dartmouth-Hitchcock Medical Center please visit our lodging page.

Type:     Live Activity
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